CalcMyPeptide
Weight ManagementAlso known as: Imcivree, RM-493, MC4R agonist

Setmelanotide

First-in-class MC4R agonist (Imcivree) FDA-approved for rare genetic obesity disorders (POMC, PCSK1, LEPR deficiency). Restores melanocortin signaling in patients with broken satiety pathways.

Half-Life
~11 hours
Dose Range
1-3 mg/day
Frequency
1× daily
Vial Sizes
10 mg

Mechanism of Action

Selective melanocortin-4 receptor (MC4R) agonist that restores the leptin-POMC-MC4R satiety pathway. Unlike broad melanocortin agonists (MT-II), setmelanotide has minimal MC1R activity, reducing skin darkening side effects.

Source: PMID: 32320060 (Phase 3 NEJM)

Dosing Protocol

Typical Dose1-3 mg/day
Frequency1× daily
Half-Life~11 hours
Common Vial Sizes10 mg

Reconstitution Example

Vial
10 mg
Water
2 mL
Concentration
5 mg/mL
Per Unit (100u syringe)
50 mcg
Dose of 1000 mcg = 20 units on a 100-unit insulin syringe

Dosing Quick Reference

Setmelanotide— Dosing Guide
Dose Range
1-3 mg/day
Half-Life
~11 hours
Frequency
1× daily
Route
Subcutaneous
10 mg vial
💧 2 mL BAC water📐 5 mg/mL concentration💉 50 mcg/unit (100u syringe)
Weight Managementcalcmypeptide.com

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